Search for: "Physicians Health Network"
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12 Nov 2016, 12:18 pm
In fact, you may have to drive 20 or 50 miles to find a physician in the network--the rules on network adequacy can be hazy. [read post]
7 Jun 2009, 4:00 am
Delaware law requires a written report from a licensed physician or nurse practitioner for a medical examination attesting to the health of the employee, staff member, or volunteer. [read post]
21 Nov 2014, 5:06 am
Some employers are shifting to plans that look like the HMOs of the 1990s, with limited networks of physicians and hospitals. [read post]
19 Mar 2020, 6:41 am
Out-of-network balance billing has long been a bugaboo of ours; it's part of the whole "transparency in health care" issue we've long since supported. [read post]
11 Jul 2012, 12:50 pm
See, “California Physicians Sue Aetna Over Out-of-Network Referrals,” http://articles.latimes.com/2012/jul/04/business/la-fi-aetna-doctors-lawsuit-20120704. [read post]
22 Jan 2014, 10:38 am
Shrinking networks. [read post]
15 Oct 2012, 6:02 am
These reforms addressed physicians’ care of injured workers by establishing a Medical Provider Network (MPN) and expanding access to Centers for Occupational Health Education (COHE) within the Washington industrial insurance system. [read post]
27 Jul 2009, 7:47 am
Although some physicians continue to claim medical malpractice liability is the biggest problem affecting access to health care (despite the total cost of medical malpractice premiums being $0.50 for every $100 spent on health care, and despite premiums being the lowest they've been in over forty years), the real problem, as alluded to by this American College of Surgeons report, is "declining reimbursement. [read post]
27 Apr 2022, 4:00 am
The Potential Risks: Self-insured programs may be rewarding, but they can also come with risks, including the ability to spread risk, compliance with federal law, and the ability to negotiate with the relevant players (TPAs, health insurers, hospitals, and/or physician networks). [read post]
5 Mar 2015, 2:48 pm
Furthermore, the safe harbor for reduced premium amounts offered by health plans could not be met, because the same reduced cost-sharing or premium amounts would not be offered to all enrollees—it would be offered only to those enrollees who choose a Network Hospital. [read post]
24 Jan 2023, 10:00 am
Andrew Healey, MD, is the Provincial Medical Director of Donation at Ontario Health’s Trillium Gift of Life Network. [read post]
18 Oct 2012, 8:18 am
Any patient who feels ill should contact their physician and clinicians should contact any patient who received one of these medications. [read post]
21 Nov 2016, 2:46 pm
This requirement applies to: network providers and suppliers; first-tier, downstream, and related entities; providers and suppliers in Program of All-inclusive Care for the Elderly plans; suppliers in cost health maintenance organizations and competitive medical plans; providers and suppliers participating in demonstration and pilot programs; locum tenens suppliers; and incident-to-suppliers. [read post]
18 Dec 2017, 6:44 am
To prevent a conflict of interest, try to find a physician who is in a different health care system. [read post]
16 Feb 2016, 7:25 am
Intermountain Health Care, Inc., --- Fed.Appx. ----, 2016 WL 523613, No. 14–4045 (10thCir. 2016) Intermountain Health Care is a large hospital/clinic/doctor network. [read post]
17 Jul 2007, 2:40 pm
As we consider proposals to improve our health-care system we need to rebuild and preserve the relationship between the patient and the physician. [read post]
25 Jul 2013, 6:18 am
The participating network providers do not become employees of the hospital or network but merely agree to participate in the payment arrangements entered into by the network. [read post]
29 Sep 2020, 10:43 am
“Improper inducements made to physicians can interfere with medical decision-making and undermine the public’s trust in the health care system,” Special Agent in Charge of the Department of Health and Human Services’ Office of the Inspector General Maureen R. [read post]
27 Apr 2022, 4:00 am
The Potential Risks: Self-insured programs may be rewarding, but they can also come with risks, including the ability to spread risk, compliance with federal law, and the ability to negotiate with the relevant players (TPAs, health insurers, hospitals, and/or physician networks). [read post]
4 Aug 2015, 4:21 am
Texas basically started the medical provider network trend and there are many states that have modeled their systems, albeit with notable differences, on the Texas network style.But a recent case out of the 5th District Court of Appeals in Texas may alarm physicians and other medical providers in networks, because in private contractual settings a doctor is not free to express his opinion, and certainly not in his chart notes, nor encourage patients to take legal… [read post]
